An Open Door

NPI 1184047409 - Health Maintenance Organization - 302R00000X

NPI Details
NPI 1184047409
Enumeration Date 01/22/2014
Last Updated 01/22/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name CRYSTAL J CRYSTAL
Position OWNER
Phone (702) 580-0177
Fax
Practice Location
4804 LUFKIN AVE
LAS VEGAS NV, 89130-3038, US
Phone (702) 580-0177
Fax
Business Location
4804 LUFKIN AVE
LAS VEGAS NV, 89130-3038, US
Phone (702) 580-0177
Fax
Toxanomy
Taxonomy Code 302R00000X
License State
License Number
Remove 1184047409 NPI Number
 

According to our database, An Open Door NPI is 1184047409, taxonomy code is 302R00000X An Open Door physically located at 4804 Lufkin Ave, Las Vegas NV, 89130-3038. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1184047409 NPI number is provided on an as is basis without warranty of any kind. 1184047409 is maintained by the National Plan & Provider Enumeration System. The contents of An Open Door are for informational purposes only.